17-102742 Electrical
coCity type el Permit #:17-102742-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: TELETRON @ HOME&HOME
Project Address: 31515 PETE VON REICHBAUER WAY S Parcel Number:092104 9302
Project Description: Adding(3)circuits(20)receptacles(8)can lights(1)dimmer switch and(1)sign receptacle
Owner Applicant Contractor
BROADWAY-32ND STREET REALTY SAFE WIRE ELECTRIC LLC SAFE WIRE ELECTRIC LLC
1610 BOUNDARY BLVD 20334 190TH AVE E SAFEWWE856LE(6/5/19)
AUBURN WA 98087 FEDERAL WAY WA 98360
20334 190TH AVE E
USA FEDERAL WAY WA 98360
USA
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Circuits-Commercial 3
PERMIT EXPIRES Thursday,7 June,2018
Permit Issued on Wednesday,June 7,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
CD 7//`7
Owner or agent: I� !;� Date:
f^,
1s
01214 THIS CARD IS TO REMAIN ON-SITE
FecleraL Way Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102742 00 Address: 31515 PETE VON REICHBAUER WAY S I
Project: BROADWAY-32ND STREET REAL] FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
'® UFER Ground(4295) .13 Ditch cover(4030) "El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
•
.. .#
Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By 1M$ Date Ir f t t 1-7 By Date
10 Final-Electrical(4055)
Approved
By P4 Date (,114I(/
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF
Federal Way JUN 0 7 2017 PERMIT APPLICATION
CITY FEDERALEVELWAY j 1 0 Z % 00
COMMUNITY DEVELOPMENT
PERMIT NUMBER _
SUITE/UNIT/SPACE 8
SITE ADDRESS: 31515
PROJECT VALUATION ASSESS??TAX/PARCEL#� i - ^ � O � CURRENT/PROPOSED USE
PROJECT NAME -. t�/C- � ° /'O fb - • J0
(Tenant or Homeowner Last Name) rI v/"( 'ff1J —
`enki f i t4 pAv tc.ivt.ertt `7 "-.O. ./___.4-1----
PROJECT
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PROJECT DESCRIPTION � C/��
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER \—\ ilkitAl* (7/ /) < 9
MAILING ADDRESS E-MAIL
1 6 l0 `^ 1 1veitCrkiv STATE ZIP FAX
—
NAME PRIMARY PHONE
E 1AD,te -lec & ALL ()ct )e6c-- °r4S3
MAILING ADDRESS E-MAIL
ELECTRICAL Q74 t q0 441 Ct ve (5
CONTRACTOR CITY STATE ZIP (/vim C FAX
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WASTA E C�RACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C,---C FttE W Jc 8%r,G G / S 42o18
NAME oQQPRIIMARY PHONE
APPLICANT r ,i rr) rdd (ac6)C6( - s T)
MAILING ADDRESS E-MAIL
k)L I°O' ' 19-IM 6
CITY STATE ZIP FAX
,( ykWA �� 9& 6 6 ( ) -
AM PRIMARY PHONE
PROJECT CONTACT -Y PCt4eiç4 (3c6)&( _ (),1,--,
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and fense of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where suc claim arises out the reliance of the city, including its officers and employees, upon the accuracy of the
information suppii to the city as a of this application.
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SIGNATURE: DATE [! et."Ar
PRINT NAME: on Pt k-i-ellai`v(
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application